Description

Expedite Medicare, Medicaid or private insurance benefits. NUCC, CMS and AMA approved format. (02/12) version. Printed front and back in red OCR ink for scanning. Continuous Form. Form Size: 8 1/2 x 11; Forms Per Page: 1; Form Quantity: 3000; Principal Heading(s): 1500 Health Insurance Claim Form.

Additional information

Weight 0.00 oz
Dimensions 0.00 × 0.00 × 0.00 in

Reviews

There are no reviews yet.


Only logged in customers who have purchased this product may leave a review.